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City of Everett <br />Date—_2 _ __ _ _-_ <br />Appliances No. <br />Conversion Units � <br />to 400,000 BTUs <br />Convcrsian Units <br />over 400,000 BTUs <br />Coakstoves <br />Rongc Tops — Ovens <br />Furnaces to 400,000 BTUs � <br />Furnaces over 400,000 BTUs <br />Space Heaters ;0 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerators <br />Water Heaters �� <br />Piping <br />Pipe in excess of 60' <br />Clothr.s Dryers I <br />Air Conditioning Unfts <br />Pcrmif Fce . . . $ . - <br />�as Installation Per�rr°t <br />DEPARTMENT OF PUBLIC WOftKS <br />Address <br />Owner <br />Instal�er <br />City of Everett, by_ <br />� <br />Inspection Division <br />—IMPORTAN7 NOTICE— <br />AI1 work must conform to the provisions of the ordinances of the City of <br />Everett, Washington. It is the responsibility of the Permit Holder to see that <br />City Inspection Division is notified and the installation inspected before <br />covering. <br />Remarks and Corrections: <br />%�t/;t, �Jc`SXtA.- - �ru. CULEtC-a.... <br />v — <br />Inspection —Date g" �" G 9 Inspector__''"' ���"' _ <br />Call Back — Date—_ Inspector_ <br />Final — Date �O ' ��' � � Inspector �"�O"-Y <br />This Perrnit must be posted �„ Job before Star;ing Installation. <br />Permit <br />